Rheumatoid arthritis complicated by pachy- and leptomeningeal rheumatoid nodule-like granulomas and systemic vasculitis.

Abstract:

:Rheumatoid nodule is a frequent and characteristic extra-articular manifestation of rheumatoid arthritis (RA). Its involvement of central nervous system is a rare occurrence with only a few reported cases. A 78-year-old man with severe arthritis showing the formation of rheumatoid nodule-like granulomas in the dura and subarachnoid space along with the spleen is presented. The characteristic morphological finding of the granulomas was the presence of neutrophils and the absence of definite fibrinoid necrosis, which differed from the typical features of rheumatoid nodules previously described. The diagnosis should be based on the exclusion of diseases that may cause similar granulomatous reactions including infectious diseases. Additionally, there was systemic necrotizing vasculitis in the dura and multiple cerebral infarcts, although the association between vasculitis and cerebral infarcts was not clear.

journal_name

Pathol Int

journal_title

Pathology international

authors

Kamio N,Kuramochi S,Wang RJ,Hirose S,Hosoda Y

doi

10.1111/j.1440-1827.1996.tb03649.x

subject

Has Abstract

pub_date

1996-07-01 00:00:00

pages

526-30

issue

7

eissn

1320-5463

issn

1440-1827

journal_volume

46

pub_type

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